Acceptability of Expanded Newborn Screening to Parents in France With or Without Genetics in the First Line

Acceptability of Expanded Newborn Screening to Parents in France With or Without Genetics in the First Line

The recent modifications of the French bioethics law, the therapeutic progress and the massive development of advanced genetic techniques (such Next-Generation Sequencing (NGS)) with a rapid decrease in costs imply to question the extension of Newborn Screening (NBS) to new actionable pathologies and the acceptable and relevant methods for its possible expansion. International studies are beginning to determine the potential place of NGS in NBS. In this perspective, the SeDeN project aims to fully assess the social acceptability of these issues by measuring the diversity and consistency of expectations of French health professionals, parents and public policy makers.

The SeDeN-p3 Study focuses on the opinions of parents. It aims to analyze the perception of parents in different situations: birth, early childhood, child screened in the framework of the national neonatal screening program, etc. The objective of this part is to study the understanding and expectations of parents in France regarding the extension of newborn screening as well as their preferences regarding its conditions (information, types of pathologies, screening methods, etc.).

Inclusion Criteria:

All populations combined:

• Be a parent or co-parent

• Age of parent:

  • woman between 18 and 50 years
  • man between 18 and 60 years

• Live in metropolitan France

• Have received information about the SeDeN-p3 Study

• Understand the purpose of the SeDeN-p3 Study

Self-administered questionnaire:

• Be able to read and answer a self-administered questionnaire in French

  • Population 1Q:

• Have a child less than a week old

• Have just giver birth in 1 of the partner maternity hospitals during the survey period

  • Population 2:

• Parent or co-parent whose youngest child is between 1 week and 3 years old

• Be part of the panel of the selected survey-sample firm

Semi-structured interviews

• Can converse fluently in French

• Accept to conduct a recorded interview

  • Population 1E (sub-population of Population 1Q)

• Have completed the entire questionnaire

  • Population 3

• Have a child under 5 years old (inclusive) with 1 of the following diseases :

  • Phenylketonuria

  • Congenital hypothyroidism

  • Congenital adrenal hyperplasia

  • Cystic fibrosis

  • Sickle cell disease

  • hearing loss

  • MCAD deficiency

  • glutaric aciduria type -1

  • isovaleric academia

  • LCHAD deficiency

  • carnitine deficiency

  • homocystinuria

  • leukinosis

  • tyrosinemia type 1

    • Population 4

• Have a child under 17 years old (inclusive), with 1 of following diseases:

  • Citrullinemia type I
  • Ornithine Transcarbamylase Deficiency
  • Methylmalonic acidaemia
  • Very long-chain acyl-CoA dehydrogenase deficiency
  • Carnitine palmitoyl transferase 1 deficiency
  • Carnitine palmitoyl transferase 2 deficiency
  • Glutaric acidaemia type II
  • Galactosaemia
  • Biotinidase deficiency
  • Pompe Disease
  • Mucopolysaccharidosis Type 1
  • Glucose-6-phophate dehydrogenase deficiency
  • X-linked Adrenoleukodystrophy
  • Spinal muscular atrophy linked to SMN1
  • S, beta-thalassemia

Exclusion Criteria:

• Have a newborn child die during the recruitment period
• Not speak and/or understand French
• Refuse to participate in the SeDeN-p3 Study
• Be under judicial protection (tutelle, curatelle, habilitation familiale et sauvegarde de justice)